社区居家养老服务、家庭代际交换与老人健康  

Study on the Relationship among Community Home-Based Elderly Care Services,Family Intergenerational Exchange and Health of the Elderly Population

作　　者：江河 李立清[1] Jiang He(Hunan Agricultural University,Changsha,P.R.China.)

机构地区：[1]湖南农业大学公共管理与法学院,湖南长沙410128

出　　处：《中国卫生事业管理》2023年第7期508-515,共8页Chinese Health Service Management

基　　金：国家社会科学基金重大项目“加强国家应急管理体系和能力建设研究”(22ZDA102);国家自然科学基金项目“农村重大突发性公共卫生事件应急能力形成机理与提升路径研究”(72274059);湖南研究生科研创新项目“县域重大突发公共卫生事件应急能力提升研究”(CX20220671)。

摘　　要：基于2018年中国老年社会追踪调查(CLASS),运用混合调节中介效应模型,实证发现:中国式家庭“互惠性孝道”代际交换关系,对于改善老人主客观生理健康、心理健康与社会健康有重要作用;子女经济支持、生活照料与情感慰藉三类代际交换,通过老人“逆反哺”中介机制非对称影响老人健康;社区居家养老服务同时以直接机制与对“子女代际交换-老人代际交换-老人健康”路径关系的混合调节中介机制,非对称影响老人健康。应多路径强化家庭代际交换与社区居家养老服务嵌合匹配性,优化家庭代际交换关系。Data from the China Longitudinal Aging Social Survey of 2018 was empirically analyzed by mixed moderation mediation model,which showed that the intergenerational exchange relationship of"reciprocity filial piety"in Chinese families played an important role in improving the subjective and objective physical health,mental health and social health of the elderly.The three types of intergenerational exchanges of economic support,daily care,and emotional comfort for children had asymmetric effects on the health of the elderly through the mediation mechanism of"reverse feeding"by the elderly.Community home-based elderly care services used both direct mechanisms and a mixed moderation mediation mechanism to regulate the path relationship among"intergenerational exchange of children,intergenerational exchange of the elderly,and the health of the elderly",which asymmetrically affected the health of the elderly.It is suggested to strengthen the compatility between family intergenerational exchange and community home-based elderly care services through multiple paths,and optimize the family intergenerational exchange relationship.

关 键 词：社区居家养老服务 子女代际交换 老人代际交换 老人健康 

分 类 号：DF552[政治法律—民商法学] D669.6[政治法律—法学]